IndividualActive
Christine Cooper
NPI 1891176798 · Primary Care Nurse Practitioner · Meridian, ID
Provider details
- NPI number
- 1891176798
- Entity type
- Individual
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- NP-1575A (ID)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
63 W Willowbrook Dr
Meridian, ID 83646-1656
Phone: (208) 888-7877
Approximate (ZIP-level) locationGet directions
Mailing address
3467 W Muirfield Dr
Meridian, ID 83646-4162
Registry dates
- Enumerated
- 2015-06-16
- Last updated
- 2025-08-17
- Certified
- 2025-08-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.